Organization
CHESAPEAKE AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA J GOTTLIEB DPM (OWNER)
(410) 761-0118
Entity
Organization
Contact information
Practice address
8028 RITCHIE HWY STE 106, PASADENA, MD 21122-1020
(410) 761-0118
(410) 761-5118
Mailing address
8030B RITCHIE HWY, PASADENA, MD 21122-1084
(410) 761-0118
(410) 761-5118
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1076
MD
Other
Enumeration date
02/07/2007
Last updated
10/17/2024
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